宫颈癌术后尿潴留的原因分析

Analysis of causes of postoperative urinary retention after cervical cancer

目的:探讨宫颈癌根治性手术后并发尿潴留的原因。方法:选取2015年2月-2019年8月宫颈癌根治性手术后并发尿潴留患者50例作为研究组;另选取同期宫颈癌根治性手术但未并发尿潴留患者50例作为对照组。比较两组术后并发尿潴留的主要危险因素。结果:研究组年龄60岁以上、围术期存在负面情绪、术后发生尿路感染、留置尿管时间超过7 d、广泛子宫切除所占比例均高于对照组,差异有统计学意义(P<0.05)。结论:临床医生应准确掌握宫颈癌根治性手术后并发尿潴留的主要危险因素,接诊后应进行综合评估筛选高危患者并实施针对性的干预措施,从而有效降低尿潴留发生率、提高患者手术预后。

Objective:To explore the causes of urinary retention after radical operation of cervical cancer.Methods:From February 2015 to August 2019,50 patients with radical operation of cervical cancer complicated with urinary retention were selected as the study group,in addition,50 cervical cancer patients who underwent radical surgery without urinary retention in the same period were selected as the control group.The main risk factors of urinary retention after operation between the two groups was compared.Results:The proportions of patients who were over 60 years of age,who had negative emotions during the perioperative period,who had urinary tract infections,who had indwelling urinary tubes for more than 7 days and had extensive hysterectomy in the study group were higher than in the control group,the differences were statistically significant(P<0.05).Conclusion:Clinicians should grasp the main risk factors of urinary retention after radical operation of cervical cancer,comprehensive evaluation and screening of high risk patients and targeted intervention measures should be performed after admission to effectively reduce the incidence of urinary retention and improve the surgical prognosis of patients.